Medical Ethics

Several times each year, I give a seminar to roughly 50 doctors on medical ethics. What surprises me is that what medical ethics experts write about has little to do with the ethical issues doctors face on a day-to-day basis. Most medical ethics issues arise not because of new technologies or strange circumstances. They arise because we often surrender to the judgment of those closest to the situation to committees, such as the ubiquitous medical ethics committee. But there is no evidence at all that these committees make better decisions than the people directly affected. The question is often not what is the right thing to do but who should decide what is the right thing to do.

Compliance Headhunters

We are contacted by headhunters because we know a lot of compliance officers and we know whether they are available. However, it is extremely difficult to help these folks as they often have no idea what a compliance officer does. They are generally working from a job description written by someone in HR who also has little idea what a compliance officer does. The essence of the job of a compliance officer is the ability to influence others to do the right thing. This does not translate into a certain college degree or work history. When describing a compliance position to a headhunter, don’t forget to include BEHAVIORAL requirements and expectations. This will save the headhunter and job candidates a lot of time

Compliance Celebration

About 19 years ago we created an annual celebration of what is bright and new in compliance called the Best Compliance Practices Forum @ bestcompliancepractices.com. This year, the Forum is being held on October 20 and 21 in the Washington DC metro area and it will be the best Forum in ten years based on the incredible faculty and best practices to be recognized. It is amazing to see the innovations in compliance that are presented each year. Please join us.

Compliance Interview

In a recent interview, Mark Pastin discusses a wide range of issues on corporate compliance. Please feel free to offer comments on any of the topics discussed in the video.

 

Healthcare Reform

I am often asked what ethical questions are posed by healthcare reform. Like healthcare reform itself, this is an very complex issue about which confusion abounds. For example, healthcare reform extends healthcare coverage to more individuals. But it does so in part by cutting Medicare. Is this right? Are we financing our social goals on the backs of seniors? Healthcare reform also tries to push the costs of Medicare down through a program called the Medicare Shared Savings Program. I can’t explain the whole thing here but the basic idea is that Medicare rewards you if you drive down the costs for a given patient population while maintaining or improving quality. This sounds like a wonderfully noble idea Read the rest of this entry »

How to Handle Whistleblowers

In my years as an ethics consultant, the one question that never goes away is, “What do we do about whistleblowers?” Companies always fear the trouble that whistleblowers may cause, but they seldom take the right precautionary steps. The whistleblower you need to worry about is the one who takes a concern outside of the company whether through litigation or the use of media or both. In order, not to have to worry about these external whistleblowers, you have to learn to love your internal whistleblowers – something few companies do. I write about this in some detail in a recent piece for the Globe and Mail‘s Leadership Lab. You can read it at http://www.theglobeandmail.com/report-on-business/careers/leadership-lab/why-embracing-whistleblowers-could-save-your-reputation/article17858924/ and give me comments at councile@aol.com.

Talk About Ethics

When you write a book, your publisher wants you to get a lot of publicity which means, among other things, doing a lot of radio and television shows. This has nothing to do with your own credentials. PR people just arrange this. As you might imagine, with ethics as a topic, a lot of these interviews turn out to be humorous at best. But I was interviewed by Pat Raskin who runs a radio show and company called Positive Business, and she helped me cover the key points. You may want to listen.

Ethics Is Brain Food

Many of those who have read my book note that the advice given concerning ethical decision making is just plain good advice about making decisions. The truth is that what makes you a good ethical thinker does make you a better thinker – period. The reverse is not true. Being a good thinker does not make you more ethical. I did a full piece on this for the Toronto Globe and Mail in their career section. How can ethics make you a better thinker? Go to Globe and Mail.

Ethical Agreement

Make an Ethical Difference has been getting a lot of PR which of course is all to the good except that it makes it hard to keep this page up to date. One of the topics that focuses the book is why people disagree so much about ethics – and whether it matters. People just have a hard time changing their minds when it comes to ethics. An article on this topic appeared at Yahoo News. I was asked to write something on why truth telling matters, especially for CEOs, for CEO magazine. I always appreciate comments on these pieces, none of which is repetitious of the book, at my personal email address councile@aol.com.

Different Ways People Make Ethical Choices

You might enjoy this article from BusinessWeek about the different ways in which people make ethical choices:

BusinessWeek Article: The Different Ways People Handle Ethical Issues in the Workplace